CLIA lab

CLIA 16D0997905: Waggoner Pediatrics of Central Iowa

Clive, IA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 16D0997905 belongs to Waggoner Pediatrics of Central Iowa in Clive, IA.

Certificate of Compliance, effective October 9, 2026, expires October 8, 2028.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Compliance
Certificate effective
October 9, 2026
Certificate expiration
October 8, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
April 1, 2002
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
16D0997905
Lab name
Waggoner Pediatrics of Central Iowa
Address
2555 Berkshire Parkway Suite A, Clive, IA 50325
Phone
(515) 987-0051
Fax
(515) 987-0054

Annual test volume the lab reported

Waived tests
5,288
Other nonwaived tests
15,021
Total
20,309

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Clive, IA

Related

Questions

What is the CLIA number for Waggoner Pediatrics of Central Iowa in Clive?

16D0997905, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Waggoner Pediatrics of Central Iowa hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 16D0997905 expire?

The CMS file lists October 8, 2028 as the certificate expiration date; the certificate took effect October 9, 2026.

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